What Are The Challenges Of Staffing In Health Care

In Australia a recent report has projected that by the year 2025 there will be a shortfall of 109,000 nurses (Health Workforce Australia, 2012). However, in developing countries, such as Malawi, the nursing shortage has reached dangerous proportions and currently stands at a quarter of the minimum level considered adequate by the World Health Organization (2014). Research by Chimwaza and colleagues (2014) details recent nurse to patient densities in Malawi are 0.343 per 1,000 population compared to Australia’s figures of 15.4 nurses per 1,000 population (Nursing and Midwifery Board of Australia, 2015). Poor working conditions and insufficient salaries, especially in more remote areas, are major factors which impact Malawi’s ability to meet the minimum recommended nurse/patient ratios (Global Fund Observer, 2014). The effects to nursing cannot be underestimated, impacting on the quality of care, and majorly effecting nurses morale and professional pride. Nursing performance is adversely affected due to the excess workload this shortage imposes, hindering the ability to provide the minimum level of health care to patients. Gorman & Hohmuth-Lemonick (2009) stated that nurses are often left to work alone, in highly stressful situations. They have also reported that Malawi’s national guidelines are two nurses per shift on labour and delivery wards, but due to the nursing shortage, one nurse per shift is often the

Inadequate nurse staffing has become a major issue when it comes to patient safety. Having a unit function with not enough staff not only puts patients at risk for adverse events, it also puts the nurse at risk for potential errors. In the following paragraphs, information will be provided on how changing the number of nurses on the unit, will improve patient care. Literature will be discussed and will provide evidence that changing nurse-patient ratios not only improves the quality of care the patient receives, it also decreases the chances of errors. A change theory will also be discussed and will explain how it helps implement change in a hospital setting and how it will be used to implement change. Finally information on how the inter-professional

Shortage of nursing staff in the long-term care continues to rise due to a couple of reasons. Many studies have revealed several factors that play a significant role in nursing shortages over the years. These factors include health care organizations downsizing the number of staff on a unit and increasing workloads, prolong work hours, and the people leaving the workforce. These factors have a significant impact on the quality of care in the long-term setting. This paper will compare and contrast the effect of lack of staffing has on the quality of patient care in a long-term settings. Over the years, the toll of the economy has had an impacted on the healthcare system which led to the reduction in the number of nursing staff and increasing the workload.

The first problem that needs to be addressed is simply the lack of access for women in vulnerable populations to prenatal care. This is a major problem because we see that the rate of women who

Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).

In America, midwives attend less than 8% of all births and less than 1% of those occur outside a hospital. At the same time, the US

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

The poor areas have many less doctors than the wealthy spots, even though the rural areas suffer from much harsher diseases on a larger scale. The countries either provide medical training for their own citizens or fund their training from somewhere else, but once the students have the skills to save lives, they move to different places for higher pay. This issue lies not only in South Africa, but in the entire continent. For example, for every Liberian doctor working in Liberia, there are two working abroad. Not only is there a shortage of doctors in general (averaging about 1.15 doctors for every 1,000 people in sub-Saharan Africa) but a shortage of nurses and midwives. Over two-thirds of mothers in Africa have no health professionals to guide them through hardships regarding pregnancy and childbirth, causing Africa alone to be responsible for over one half of the world’s infant and maternal

According to Shah, “ newborn babies in the US have a one-in-three chance of entering the world through an abdominal incision. In the UK, the odds are lower - more like one in four, but everyone on both sides of the Atlantic agrees this still represents too much help.” By reading this we can clearly indicate that Shah doesn’t prefer C-section births, and it isn't just because of personal belief, he backs it this factual proof to further his thought. By stating that one-in-three ,(US), and

Despite many efforts to improve staffing numbers, there is often still a staff shortage among staff in hospitals and acute care settings. While the most obvious solution to short staffing is to hire more nurses, there are also other ways to make staffing more effective. A patient acuity tool is a staffing instrument that can be used to decide how much time and attention each individual patient requires. By knowing the acuity level of each patient, charge nurses can decide how many patients each nurse can be assigned to at a time. This essay describes the way a patient acuity instrument improves healthcare outcomes by promoting patient-centered care and improving on key nurse competencies including teamwork and collaboration, quality improvement, and safety measures.

The WHO report (3) estimates there are slightly more than 59 million health care workers in the world. Of the 4.3 million shortages, India appears as one of the dozens of countries with a critical shortage of health care providers (4-6). A Critical shortage of health care providers means for every given birth, less than 80 percent have skilled birth attendants present. The data further suggests that a country must have between 2.02 and 2.54 skilled birth attendants (doctors, nurses, or midwives) per 1000 population to support growth and maintain a strong health care system. Estimates place India at 1.87 skilled birth attendants per 1000 population (7).

The residents of Africa are suffering from preventable, treatable, and fatal diseases everyday at a higher rate compared to developed countries. The healthcare crisis in Africa is the primary cause of all these deaths, and includes inefficient healthcare systems. Consequently, African's inefficient healthcare systems results in poor delivery of care and a shortage of health professionals. The healthcare crisis in Africa is a current issue impacting the lives of many African's who don't have the same access to resources as developed countries such as the United States. These resources can save the lives of many African's dying of preventable and curable disease, and understanding why the African continent has little access to them

This medical surgical schedule created based on 24 patients (approximately 8760 patients per year). Depends on patient diagnosis manager determine staffing needs. For example, 24 patients with the following acuities the required 138 nursing care hours, that need an average 5.8 nursing hours per patient per day (NHPPD).

Low nurse staffing levels are credited for the reduced rates of patient outcome. Therefore, there is a need for improved nurse staffing levels to meet the growing demand for health care delivery services in the hospitals. Currently, there is the need for higher staffing levels to serve the growing global population. However, improving the staff levels is not as straightforward and easy as it sounds in theory. Staffing levels are low in most states in the US and most countries in the world. The main factors that contribute to the low staffing levels include but not limited to the big gap between the number of registered nurse and the industry requirement and the rising needs of the acuity patients present in the US today. In other words, there

The field of nursing health care is one of the most important things in any given community set up. In the current world, health care sector is under reform simply because there is a wide range of challenges as well as problems that face this industry. Recruitment and retention are the main areas that for long have been affected by different challenges. In the field of nursing health care, retention and recruitment are two things that go together. Administrators in health care field have faced challenges in managing these two aspects. Healthcare system has been unable to retain service providers which are a great risk to those in need of health services. On the other hand, recruitment of employee has turned to be a great challenge simply because of selection criteria and the level of qualification of the employees. This study will look at the challenges of employee recruitment and retention of health care